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Home / Missouri / Van Buren

Riverways Manor

403 Watercress Road, Box 969, Van Buren, MO 63965 · Carter County · (573) 323-4282

60 certified beds, about 43 residents a day · For profit - Individual · Medicare and Medicaid since 1989

Certified for Medicaid Certified for Medicare
Overall
4 of 5
Health inspections
5 of 5
Staffing
2 of 5
Quality measures
1 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 265363 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on January 21, 2026, inspectors cited 3 health deficiencies (the Missouri average is 11.4, the national average 9.2).

None of its 22 health citations since April 2023 was rated as actual harm or immediate jeopardy.

CMS lists no fines against this home in the last three years.

Nurses and nurse aides worked 3.27 hours per resident per day, against 3.43 across Missouri and 3.86 nationally. Registered nurses accounted for 0.61 of those hours.

50.0% of nursing staff left within the year CMS measured (Missouri average 56.0%).

CMS links it to Circle B Enterprises, an affiliated group of 36 nursing homes.

Health inspections

Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.

Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.

Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit

Where its citations fall on CMS's grid

CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 22 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
20D
1E
1F
Potential for minimal harm
0A
0B
0C
January 21, 2026Standard inspection · 3 citations
  1. D
    Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
    F605 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 2, 2026
    Inspectors wroteBased on interview and record review, the facility failed to limit the use of as needed (PRN) psychotropic (medication that affect a person's mental state) medication orders for 14 days for one resident (Resident #46) out of three sampled residents, and failed to ensure an appropriate diagnoses for the use of an antipsychotic (medication that treats mental disorders characterized by a disconnection from reality) medication for one resident (Resident #40) out of two sampled residents. The facility census was 46. Review of the facility's policy titled, Tapering Medications and Gradual Drug Dose Reduction, dated February 2025, showed: -The practitioner and staff identify symptoms for which a resident is receiving medication and monitor the resident for changes in those symptoms; -Behavior interventions are used to support the resident during and after GDR of a psychotropic medication. [...]
  2. D
    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
    F690 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 2, 2026
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure placement of the urinary indwelling catheter (a tube inserted into the bladder to drain urine) drainage bag and tubing was maintained for one resident (Resident #10) out of two sampled residents. The facility census was 46. Review of the facility's policy titled, Catheter Care, Urinary, dated August 2022, showed:- Be sure the catheter tubing and drainage bag are kept off the floor. 1. Review of Resident #10's medical record showed:- admitted on [DATE];- Diagnosis of urinary retention. Review of the resident's Physician Order Sheet (POS), dated January 2026, showed:- An order to change the Foley (a type of indwelling catheter) catheter 16 French (size of the catheter) 30 millimeter (ml) balloon and bag, monthly on the 8th using sterile technique, dated 01/08/26. [...]
  3. D
    Keep all essential equipment working safely.
    F908 · Environmental · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 2, 2026
    Inspectors wroteBased on observations, interviews, and record review, the facility failed to maintain essential equipment in a safe and operable working condition. This deficient practice had the potential to affect all residents. The facility census was 46. The facility did not provide a policy for equipment maintenance. The facility did not provide current invoices related to commercial electric range repairs. Review of the Electric Range Estimates showed:- On 07/09/25, an estimate for a replacement of the electric range was obtained, but no further action taken;- On 08/07/25, an estimate for a replacement of the electric range was obtained, but no further action taken. Observation on 01/19/26 at 10:30 A.M., of the kitchen showed:- One commercial electric range with no working burner elements. [...]
September 27, 2024Standard inspection · 7 citations
  1. D
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    F550 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 28, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure staff treated residents with dignity and respect by leaving one resident (Residents #39) out of one sampled resident with his/her genitalia exposed to the public. The facility census was 47. Review of the facility's policy titled, Dignity, revised February 2021, showed: - Each resident shall be cared for in a manner that promotes and enhances his or her sense of well-being. Level of satisfaction with life, and feelings of self-worth and self-esteem; - Residents are treated with dignity and respect at all times; - Staff promote, maintain, and protect resident privacy, including bodily privacy during assistance with personal care and during treatment procedures; - Demeaning practices and standards of care that compromise dignity are prohibited. Staff are expected to promote dignity and assist residents. [...]
  2. D
    Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
    F582 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 28, 2024
    Inspectors wroteBased on interview and record review, the facility failed to issue a Skilled Nursing Facility Advanced Beneficiary Notice (SNF ABN) to the resident and/or the resident's representative in writing at least two days before discharge from skilled services. This notice informs the beneficiary about potential non-coverage and the option to continue services with the beneficiary accepting the financial liability for those services. This practice affected two residents (Residents #20 and #43) out of three sampled residents. The facility census was 47. The facility did not provide a policy regarding the SNF ABN. 1. Review of Resident #20's medical record showed: - Medicare Part A skilled services started on 05/07/24, and ended on 06/02/24; - The facility initiated the discharge from Medicare Part A Services with the resident's benefit days not exhausted and the resident remained in the facility; [...]
  3. D
    Ensure each resident receives an accurate assessment.
    F641 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 28, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility failed to document an accurate Minimum Data Set (MDS - a federally mandated assessment completed by facility staff) for three residents (Residents #16, #29 and #39) out of 12 sampled residents. The facility's census was 47. Review of the facility's policy titled, Resident Assessments, revised October 2023, showed: - The resident assessment coordinator is responsible for ensuring the interdisciplinary team conducts timely and appropriate resident assessments; - Information in the MDS assessments will consistently reflect information in the progress notes, plans of care and resident observations/interviews. 1. Review of Resident #16's medical record showed: - admission date of 11/01/21; [...]
  4. D
    Ensure services provided by the nursing facility meet professional standards of quality.
    F658 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 28, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility to follow physician's orders for four residents (Residents #7, #16, #17 and #29) out of four sampled residents when the facility failed to ensure medications were available to administer to the residents. The facility also failed to ensure medications were administered within the prescribed time frame for two residents (Residents #25 and #41) out of nine sampled residents. The facility census was 47. Review of facility policy titled, Administering Medication, revised April 2019, showed: - Medications are administered in accordance with prescriber orders, including any required time frame; - Medications are administered within one hour of their prescribed time, unless otherwise specified or liberal medication passes; - The policy didn't address the time frame for ordering of medication refills. 1. [...]
  5. D
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 28, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility failed to assess, care plan and monitor for efficacy for the use of a wheelchair seatbelt for one resident (Resident #26) out of one sampled resident. The facility census was 47. The facility did not provide a seatbelt policy. 1. Review of Resident #26's medical record showed: - admission date 02/07/23; - Diagnoses of cerebral palsy (a congenital disorder of movement, muscle tone, or posture due to abnormal brain development), muscle spasm, psychosis (a mental disorder characterized by disconnection from reality) not due to a substance or known physiological condition, and convulsions (sudden, irregular movement of a limb or of the body); - No documentation of an assessment for the use of a seatbelt. [...]
  6. D
    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
    F690 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 28, 2024
    Inspectors wroteBased on observation, interview and record review, the facility failed to ensure a urinary indwelling catheter (a tube inserted into the bladder to drain urine) drainage bag was kept off the floor for two residents (Residents #29 and #39) out of two sampled residents. The facility census was 47. Review of the facility policy titled, Urinary Catheter Care, revised August 2022, showed; - Be sure the catheter tubing and drainage bag are kept off the floor. 1. Review of Resident #29's medical record showed: - admitted on [DATE]; - Diagnosis of neurogenic bladder (lack of bladder control due to a brain, spinal cord or nerve problem). Review of the resident's Physician Order Sheet (POS), dated September 2024, showed: - An order for Foley (a type of indwelling catheter) catheter care every shift, dated 08/16/24; [...]
  7. D
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 28, 2024
    Inspectors wroteBased on observation, interview and record review, the facility failed to maintain infection control practices during disinfection of a facility glucometer (a device for measuring the concentration of glucose in the blood) used for glucose (the main type of sugar in the blood) monitoring for three residents (Residents #22, #25 and #31) out of three sampled residents. The facility failed to maintain proper infection control practices during catheter (a tube inserted into the bladder to drain urine) care for one resident (Resident #39) out of one sampled resident. The facility census was 47. The facility did not provide a policy on cleaning and disinfecting the glucometer. Review of the PDI Super Sani Cloths Manufacturer's Disinfection Directions showed: - If present, use a wipe to remove visible soil prior to disinfecting; - Unfold a clean wipe and thoroughly wet the surface; [...]
April 6, 2023Standard inspection · 12 citations
  1. F
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) May 21, 2023
    Inspectors wroteBased on observation, interview, and record review, the facility failed to store and distribute food under sanitary conditions, increasing the risk of cross-contamination and food-borne illness. These deficient practices had the potential to affect all residents. The facility census was 46. Record review of the facility's Kitchen Sanitization policy, revised November 2022, showed: - The food services area is maintained in a clean and sanitary manner; - All equipment, food contact surfaces and utensils are cleaned and sanitized using heat or chemical sanitizing solutions; - Ice machines and ice storage containers are drained, cleaned and sanitized per manufacturer's instructions; - All food will be labeled and dated. 1. Observations on 4/3/23 at 8:49 A.M., 4/3/23 at 3:49 P.M., and 4/4/23 at 8:27 A.M., of the kitchen showed: [...]
  2. E
    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
    F584 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) May 21, 2023
    Inspectors wroteBased on observation, interview, and record review, the facility failed to provide a safe, clean and comfortable homelike environment. This deficient practice had the potential to affect all residents in the facility. The facility census was 46. Observations on 4/3/23 at 10:46 A.M., 4/4/23 at 9:12 A.M., and 4/5/23 at 10:12 A.M., showed: - A three foot (ft.) baseboard missing behind the door next to the bathroom located in room [ROOM NUMBER]; - A figurine, a decorative plaque, and a ceramic figurine on top of the light fixture above the bed located by the window in room [ROOM NUMBER]; - A four ft. baseboard missing in front of the Direct Supply Attendant weight scale located in the room behind the nurse's station; - A seven inch (in.) x 12 in. area of paint and sheetrock peeled off in front of the Direct Supply Attendant weight scale located in the room behind the nurse's station. [...]
  3. D
    Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
    F578 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 21, 2023
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure an order for code status was consistently documented throughout the medical record for two residents (Resident #30 and #48) out of three sampled residents. The facility census was 46. Record review of the facility's Advanced Directives policy, revised [DATE], showed: - If the resident or the resident's representative has executed one or more advance directives (legal documents that allow you to spell out your decisions about end-of-life care ahead of time), or executes one upon admission, copies of these documents are obtained and maintained in the same section of the resident's medical record and are readily retrievable by any facility staff; [...]
  4. D
    Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
    F582 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 21, 2023
    Inspectors wroteBased on interview and record review, the facility failed to complete and notify in the proper timeframe, at least two calendar days before services were to end, the Notice of Medicare Non-Coverage (NOMNC) and the Skilled Nursing Facility Advanced Beneficiary Notice (SNF ABN) for two residents (Resident #1 and #38) out of three sampled residents. The facility census was 46. 1. Record review of Resident #1's NOMNC and SNF ABN forms showed: - The resident admitted to skilled Medicare services on 2/21/23; - The facility electronically signed the forms with the resident's name on 2/21/23, date of admission to skilled Medicare services; - The resident discharged from skilled Medicare services on 3/2/23, and remained in the facility; [...]
  5. D
    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
    F623 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 21, 2023
    Inspectors wroteBased on interview and record review, the facility failed to send copies of the notice of transfer or discharge to the representative of the Office of the State Long-Term Care (LTC) Ombudsman (a program that advocates for residents, provide information and help resolve problems) for four residents (Resident #13, #30, #35, and #37) out of four sampled residents. The facility's census was 46. 1. Record review of Resident #13's medical record showed: - admitted on [DATE]; - The resident transferred to the hospital for evaluation on 12/5/22, 12/11/22, and 1/4/23; - No documentation of the notice of transfers or discharge provided to the representative of the LTC Ombudsman. 2. Record review of Resident #30's medical record showed: - admitted on [DATE]; - The resident transferred to the hospital on 3/29/23; [...]
  6. D
    Assess the resident when there is a significant change in condition
    F637 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 21, 2023
    Inspectors wroteBased on interview and record review, the facility failed to complete a significant change Minimum Data Set (MDS) (a federally mandated assessment tool completed by the facility) assessment for one resident (Resident #48) out of three sampled residents. The facility's census was 46. Record review of the facility's Resident Assessments policy, Revised March 2022, showed: - The resident assessment coordinator is responsible for ensuring that the appropriate resident assessments and reviews are completed; - A required MDS assessment is a significant change in status assessment; - A significant change in status assessment is a comprehensive assessment; - A comprehensive assessment includes the completion of the MDS, completion of the care area assessment (CAA) process, and the development of the comprehensive care plan; [...]
  7. D
    Assure that each resident’s assessment is updated at least once every 3 months.
    F638 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 21, 2023
    Inspectors wroteBased on interview and record review, the facility failed to complete a quarterly Minimum Data Set (MDS), a federally mandated assessment instrument completed by the facility staff, within the required timeframe) for one resident (Resident #12) outside the sample The facility's census was 46. Record review of the facility's Resident Assessments policy, Revised March 2022, showed: - Required Assessments are federally mandated, and therefore must be performed for all residents of Medicare and/or Medicaid certified nursing homes; - The resident assessment coordinator is responsible for ensuring that the appropriate resident assessments and reviews are completed; - The Resident Assessment Instrument (RAI) provides detailed information on timing and submission of the MDS assessments. 1. Record review of Resident #12's medical record showed: - An admission date of 3/30/2020; [...]
  8. D
    Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
    F640 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 21, 2023
    Inspectors wroteBased on interview and record review, the facility failed to complete and transmit Minimum Data Set (MDS) (a federally mandated assessment instrument completed by the facility staff) tracking records within the required timeframe for four residents (Resident #4, #18, #19 and #46) outside the sample The facility's census was 46. Record review of the facility's Resident Assessments policy, dated March 2022, showed: - Required assessments are federally mandated, and therefore, must be performed for all residents of Medicare and/or Medicaid certified nursing homes; - The resident assessment coordinator is responsible for ensuring that the interdisciplinary team conducts timely and appropriate resident assessments and reviews according to the following requirements: admission assessments (comprehensive) and discharge assessment (return anticipated and return not anticipated); [...]
  9. D
    Plan the resident's discharge to meet the resident's goals and needs.
    F660 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 21, 2023
    Inspectors wroteBased on interview and closed record review, the facility failed to ensure a discharge planning process was in place which addressed goals and needs and involved the resident and/or the resident's legal guardian and the interdisciplinary team (IDT) (a group of health care professionals from diverse fields who work in a coordinated effort toward a common goal for a resident) in developing a discharge plan for one resident (Resident #50) out of two sampled discharged residents. The facility census was 46. Record review of the facility's Discharge Summary and Plan policy, revised October 2022, showed: - The post-discharge plan is developed by the care planning/interdisciplinary team with assistance of the resident and his or her family; - The resident/representative is involved in the post-discharge planning process and informed of the final post-discharge plan; [...]
  10. D
    Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
    F661 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 21, 2023
    Inspectors wroteBased on interview and closed record review, the facility failed to complete a comprehensive discharge summary for one resident (Resident #50) out of two sampled discharged residents. The facility census was 46. Record review of the facility's Discharge Summary and Plan policy, revised October 2022, showed: - When a resident's discharge is anticipated, a discharge summary and post-discharge plan is developed to assist the resident with discharge; - The discharge summary includes a recapitulation of the resident's stay at the facility and a final summary of the resident's status at the time of the discharge in accordance with the established regulations governing the release of the resident's information and as permitted by the resident; - A copy of the evaluation of the discharge needs, the post-discharge plan and the discharge summary will be filed in the resident's medical record. 1. [...]
  11. D
    Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
    F693 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 21, 2023
    Inspectors wroteBased on observation, interview and record review, the facility failed to ensure proper care of the enteral feeding (the intake of food through a gastrostomy tube (G-tube) (a tube placed directly through the abdomen into the stomach) for one resident (Residents #8) out of a sample of one. The facility census was 46. Record review of the facility's Enteral Nutrition policy, revised November 2018, showed: - Adequate nutritional support through enteral nutrition is provided to residents as ordered; - The recommendation to initiate the use of enteral nutrition is based on the results of the comprehensive nutritional assessment, and is consistent with current standards of practice, the resident's advance directives, treatment goals and facility policies; - The nurse confirms that orders for enteral nutrition are complete; [...]
  12. D
    Put firmly secured handrails on each side of hallways.
    F924 · Environmental · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 21, 2023
    Inspectors wroteBased on observation, interview and record review, the facility failed to ensure the handrails on the Red, Blue and Therapy Halls were properly maintained. The deficient practice had the potential to affect all residents in these areas. The facility census was 46. 1. Observations on 4/3/23 at 11:01 A.M., and 4/5/23 at 4:13 P.M., showed: - A four foot (ft.) section of the handrail came out of the drywall when grabbed with minimal force located on the right side of the door by room [ROOM NUMBER]; - A two ft. section of the handrail came out of the drywall when grabbed with minimal force located on the right side upon entering the soiled utility room near the nurse's station; - A two ft. section of the handrail came out of the drywall when grabbed with minimal force located on the left side of room [ROOM NUMBER] near the fire extinguisher; [...]

Fire safety inspections

4 fire safety citations on file: 1 on January 21, 2026, 3 on April 6, 2023.

Every fire safety citation4 citations
  1. F
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · January 21, 2026 · Corrected (the home has a date of correction)
  2. F
    Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
    K 223 · April 6, 2023 · Corrected (the home has a date of correction)
  3. F
    Install proper backup exit lighting.
    K 281 · April 6, 2023 · Corrected (the home has a date of correction)
  4. F
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · April 6, 2023 · Corrected (the home has a date of correction)

Fines and payment denials

CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.

Staffing

Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.

MeasureThis homeMissouriUnited States
All nursing staff (RN, LPN and aides)3.273.433.86
Registered nurses0.610.460.69
All nursing staff on weekends2.783.013.42
Nurse aides2.16
Licensed practical nurses0.50
Nursing staff turnover (share who left in a year)50.0%56.0%45.8%
Registered nurse turnover50.0%47.8%42.9%
Administrators who left1

CMS expects 3.73 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.

Staffing by quarter, from daily payroll records

Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 3.47 on weekdays and 2.78 on weekends, 20% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.02 in April to June 2025 to 3.27 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.270.613.472.78 0.0%0 of 9043
Oct to Dec 20253.370.713.562.90 0.0%0 of 9244
Jul to Sep 20253.560.653.723.17 0.0%0 of 9242
Apr to Jun 20253.020.503.162.67 0.0%0 of 9149
United States, Jan to Mar 20263.750.623.923.335.3%0.5% of days
Missouri, Jan to Mar 20263.340.403.502.933.9%1.1% of days

Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.

Staff pay reports

Staff pay at this home

No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review.

Official wage estimates for Missouri

JobMedianMiddle halfEmployed
Missouri, all employers
CNAs (nursing assistants)$18.11$17.02 to $20.0034,050
LPNs and LVNs$29.58$27.06 to $33.7714,700
Registered nurses$39.32$36.56 to $47.3976,310
United States, nursing care facilities
CNAs (nursing assistants)$20.67$17.91 to $22.55534,270
LPNs and LVNs$33.86$30.05 to $37.40188,210
Registered nurses$41.11$37.85 to $47.68142,270

Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.

How staff pay reports work · CNA pay by state

Quality measures

The measures CMS uses for the quality star. Lower is better for every one of them.

MeasureThis homeMissouriUS
Percentage of long-stay residents whose need for help with daily activities has increased
Long Stay residents, 2025Q2-2026Q1
23.718.113.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.41.10.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
0.72.31.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
6.94.13.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
1.32.21.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
24.017.414.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
13.14.54.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
41.823.515.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
31.626.123.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
12.213.712.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.42.11.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
2.62.31.8

Short-term rehab results

For a stay to recover after a hospital visit, these are the results CMS publishes for Riverways Manor's Medicare short-stay residents. On returning residents home or to the community, CMS rates it worse than the national rate (32.5% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.

Went home or back to the community

32.5% this home

Worse than the national rate

US median of homes 51.5% · Missouri: 41 better, 31 worse

Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 31 eligible stays.

Potentially preventable readmissions

11.9% this home

No different from the national rate

US median of homes 10.7% · Missouri: 0 better, 7 worse

Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 32 eligible stays.

Infections that led to a hospital stay

10.1% this home

No different from the national rate

US median of homes 7.1% · Missouri: 1 better, 5 worse

Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 29 eligible stays.

Self-care and mobility at discharge

44.8% this home

Median of homes: Missouri51.6% · US 56.6%

Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 29 residents counted.

Falls with major injury

6.4% this home

Median of homes: Missouri0.0% · US 0.0%

Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 47 residents counted.

New or worsened pressure ulcers

4.8% this home

Median of homes: Missouri2.0% · US 1.7%

Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 47 residents counted.

Medication list given at discharge

Not reported

CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.

Median of homes: Missouri100.0% · US 98.7%

Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 11 residents counted.

Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.

Owners and operators

Legal business name: VAN BUREN NO1 INC. CMS links this home to Circle B Enterprises, a group of 36 nursing homes averaging 2.5 stars overall.

NameRoleTypeShareSince
The Pamela D Bedell Exempt Trust5% or greater direct ownership interestOrganization100%10/31/2000
Bedell, DonaldCorporate directorIndividual01/01/2001
Beaird, ToddCorporate officerIndividual01/01/2022
Bedell, DonaldCorporate officerIndividual01/06/1997
Agh1 LLCOperational/managerial controlOrganization12/02/2016
Sovereign Healthcare Group LLCOperational/managerial controlOrganization04/23/2021
Bedell, DonaldOperational/managerial controlIndividual01/06/1997
Rubi, RodneyOperational/managerial controlIndividual05/01/2017
Scott, AmandaOperational/managerial controlIndividual09/11/2025
Bedell, BryanIndividual is an owner, partner or trustee of any ADP of the SNFIndividual05/12/2025
The Pamela D Bedell Exempt TrustTrustee of the SNFOrganization10/31/2000
Agh1 LLCAdp of the SNFOrganization05/05/2025
Fg LLCAdp of the SNFOrganization12/02/2016
Forvis Mazars LLPAdp of the SNFOrganization08/16/2021
Mid States IncAdp of the SNFOrganization11/01/2010
Sovereign Healthcare Group LLCAdp of the SNFOrganization04/06/2025
The Pamela D Bedell Exempt TrustAdp of the SNFOrganization10/31/2000
Van De Ven LLCAdp of the SNFOrganization01/01/2000
Beaird, ToddAdp of the SNFIndividual01/01/2022
Rubi, RodneyAdp of the SNFIndividual05/01/2017
Scott, AmandaAdp of the SNFIndividual09/11/2025

As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.

Questions to ask on a visit

Chosen from this home's own inspection record.

  1. When is the care plan meeting, and can family attend it?Inspectors cited 7 problems in this area, most recently on September 27, 2024: "Ensure each resident receives an accurate assessment."
  2. How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 6 problems in this area, most recently on September 27, 2024: "Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights."
  3. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 4 problems in this area, most recently on January 21, 2026: "Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections."
  4. Can we see a resident room, a shower room and the dining room on this visit?Inspectors cited 2 problems in this area, most recently on January 21, 2026: "Keep all essential equipment working safely."
  5. Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.78 hours per resident per day, below the Missouri average of 3.01.
  6. How long has the current administrator been here?CMS counts 1 administrator who left in the period it measured.

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Common questions

What is Riverways Manor's Medicare star rating?
CMS rates Riverways Manor 4 out of 5 stars overall, with 5 for health inspections, 2 for staffing and 1 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Riverways Manor get at its last inspection?
3 health deficiencies at the standard inspection on January 21, 2026. The Missouri average is 11.4.
Has Riverways Manor been fined?
CMS lists no fines in the last three years.
Does Riverways Manor accept Medicaid?
It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
Who owns Riverways Manor?
CMS lists 21 owners and managers, and links the home to Circle B Enterprises. Legal business name: VAN BUREN NO1 INC.

Sources

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